Fourth Annual Symposium Series on
Excellence in Teaching Undergraduate Science and Mathematics:
National and Chicago Perspectives
February 8, 2002 symposium—Northeastern Illinois University

March 8, 2002 symposium—University of Illinois at Chicago
April 29, 2002 symposium—DePaul University, Lincoln Park Campus
Registration Form

Participant’s Information (please print):

Name __________________________________________

Position ________________________________________

Institution _______________________________________

Department/Discipline ______________________________

Address _________________________________________

City _____________________________ State ________ Zip _____________

E-mail address ___________________________________

Telephone ___________________________________ Fax ______________________________________

___ I would like all future communication sent via e-mail.
 

Registration for the full series or for individual symposia.

  • Full series ($90) __________

  •  
  • February 8 symposium—Northeastern Illinois University

  • Regular ($35) __________, Student ($15) __________
     
  • March 8 symposium—University of Illinois at Chicago

  • Regular ($35) __________, Student ($15) __________
     
  • April 29 symposium—DePaul University, Lincoln Park Campus

  • Regular ($35) __________, Student ($15) __________
Dinner:
Dinner is included as part of the symposium. __________ I would like a vegetarian dinner.

Payment:
A check for $__________ (made out to UIC–IMSE) is enclosed.

Please mail to:
Please mail to:
2002 Symposia Registration 
UIC–IMSE
950 S. Halsted, Room 2075 (M/C 250)
Chicago, IL 60607


Please use a separate form for each participant. Duplicate as necessary.